Team Based Resilience

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Good Things Come in Threes:

Applying a Simple Evidence-based Tool to Build Staff Resilience

Nursing UNCMC

During a two week period, nursing staff were asked to share positive reflections about each shift on a single “article of clothing,” which were displayed on a highly visible “clothesline” bulletin board in the break room, allowing all staff members to reflect on and appreciate one another’s reflections. 

Unit nursing staff were surveyed pre-intervention to determine baseline data regarding work-life balance behaviors and overall resilience using the emotional exhaustion subscale of the Maslach Burnout Inventory and the Work-Life Climate Scale. 

At the end of the two weeks, a post-intervention survey showed an improvement in all work-life balance behaviors and all measures of resilience. 

The overall average of staff resilience measures increased from 49% to 71%.

Bulletin Board, Clothespins, Cutouts in shape of articles of clothing


Article – American Nurse Today Article – American Nurse Today

Article – Journal of Nursing Management

Mindfulness Nursing Rex

Implement a stress-management/mindfulness practice to reduce negative perceptions of and reactions to stress.

Participants demonstrated a reduction in perceived stress and an increase in their ability to be mindful.

Mediation supplies (sand timers, stress balls, meditation smartphone applications, meditation/mindfulness books)


Powerpoint – Stress Management in the PACU with 3x3 method

Document - Weekly mindfulness emails

The Use of Simulation to Improve Family Understanding and Support of Anesthesia Providers  Department of Anesthesia

Family Anesthesia Experience Day allowed family members to experience age-appropriate simulation activities to provide an immersion experience in the health care professional’s work environment.

Support persons demonstrated improved understanding of work demands.

Volunteers work-related materials / equipment space to hold event


Article - Cureus